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NPI Code Detail

MEDICARE: MR. CHARLES SIDNEY RIGGS R.P.H.

MEDICARE: MR. CHARLES SIDNEY RIGGS R.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11019AL

General Provider Information

NPI Number : 1629315544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES SIDNEY RIGGS R.P.H.
Provider Business Mailing Address
First Line : 411 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4909
Country : US
Telephone Number : 205-944-1112
Fax Number :
Provider Business Practice Location Address
First Line : 411 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4909
Country : US
Telephone Number : 205-944-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2013
Last Update Date : 01/11/2013

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